Organization
MID-SOUTH MEDICAL PROFESSIONALS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER PHILLIPS (CEO)
(901) 227-4093
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-0340
(901) 226-0349
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
(901) 226-3172
(901) 226-3175
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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